Park Center Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PARK CENTER INC

Doing business as

Park Center

Practice address

909 E State Blvd
Fort Wayne, IN 46805-3404

Phone

(260) 482-9125

NPI assigned

Jul 21, 2025

Last updated

Aug 12, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

PARK CENTER INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stanton Risser

Title

Acfo

Phone

(260) 266-9380

Specialties & licenses 2

Addresses

Other names 1

• Park Center Doing business as

Tax ID family

Park Center Inc4 organizations share this tax ID, including this one

Part of

Park Center Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Park Center Inc

  • Psychiatric Hospital
  • Fort Wayne, IN
  • NPI 1457772402
  NPD tax ID
• Park Center, Inc.

  • Community/Behavioral Health Agency
  • Fort Wayne, IN
  • NPI 1053594663
  NPD tax ID
• Park Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Decatur, IN
  • NPI 1366719171
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1073405270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 PRODUCTION RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468081167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E STATE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468053404",
            "telephone_number": "260-482-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARK CENTER INC",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "RISSER",
        "authorized_official_first_name": "STANTON",
        "authorized_official_title_or_position": "ACFO",
        "authorized_official_telephone_number": "260-266-9380"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Park Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Rex Parent, M.D.
• Maren M. Parent, MPT
• Virendra A. Parikh, M.D.
• David J. Paris, M.D.
• Steven Michael Paris, DO
• Park Center Inc
• Park Center Inc
• Park Center, Inc.
• Park Place Senior Living, LLC
• Lawrence Eugene Park, DDS

• Community/Behavioral Health Agency in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.